Bcbs test - Study guides, Class notes & Summaries

BCBS TEST QUESTIONS & ANSWERS SOLVED 100% CORRECT. Which plan is primary? When a patient is covered by her employer-sponsored group plan and by a government plan (not affiliated with the employer). Employer-sponsored plan Which plan is primary? When a patient is covered by her employer's group insurance plan and also, covered by her spouse's group plan. Employer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known as ...? Pr...

QUIZ QUIZ When a provider signs a contract to be a participating provider with an insurance payer they are agreeing to: a. Only see patients that are enrolled with that insurance company. b. Bill the patient for the total amount the insurance company does not pay. c. Accept the fee schedules set by the insurance company. d. All of the above. c. Accept the fee schedules set by the insurance company. Brainpower Read More Previous Play Next Rewind 10 seconds Move forwa...

ACH -Correct Answer Automated Clearing House ACH Network -Correct Answer Backbone for the electronic movement of money and data, a processing and delivery system that provides for the distribution and settlement among financial institutions of electronic credits and debits, as well as, non-monetary entries with payment related information ACH Operator -Correct Answer Central clearing facility that receives entries from the ODFIs and distributes the entries to the appropriate Receiving Depo...

BCBS TEST QUESTIONS WITH CORRECT ANSWERS Which plan is primary? When a patient is covered by her employer-sponsored group plan and by a government plan (not affiliated with the employer). - Answer-Employersponsored plan Which plan is primary? When a patient is covered by her employer's group insurance plan and also, covered by her spouse's group plan. - Answer-Employer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known as...

BCBS Test Questions with All Correct Answers blue cross began when and where for what - Answer-1929 at baylour un. in dallas texas for hospital bills blue shield began when and where for what - Answer-1938 at house of delegates for physician services when did blue cross and blue shield merge together - Answer-1986 and became blue cross blue shield association BCBSA non profit corp are for - Answer-chariable, educational,civic,or humanitarian organizations whose profits return to corp ...

BCBS TEST QUESTIONS WITH CORRECT ANSWERS Which plan is primary? When a patient is covered by her employer-sponsored group plan and by a government plan (not affiliated with the employer). - Answer-Employer- sponsored plan Which plan is primary? When a patient is covered by her employer's group insurance plan and also, covered by her spouse's group plan. - Answer-Employer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known ...

BCBS TEST Exam Questions With Correct Answers. Which plan is primary? When a patient is covered by her employer-sponsored group plan and by a government plan (not affiliated with the employer). - answerEmployer-sponsored plan Which plan is primary? When a patient is covered by her employer's group insurance plan and also, covered by her spouse's group plan. - answerEmployer-sponsored plan For treatment not covered by the insurance plan requires prospective authorization, otherwise known...

215 Insurance License Exam Questions And Answers risk pooling - ANS spreading risk over a large group of people law of large numbers - ANS larger the group, the more certain the predictions speculative risk - ANS not insurable - involves both chance of loss or gain pure risk - ANS insurable - involves chance of loss, never gain or profit peril - ANS event causing loss Ex: fire, death, accident, windstorm, disease hazard - ANS any factor that gives rise to p...